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Case Reports
. 2001 Aug;20(2):412-4.
doi: 10.1016/s1010-7940(01)00802-8.

A novel technique for giant left atrium reduction

R Sinatra  1 , I Pulitani, A Antonazzo, G Melina
Affiliations
Case Reports

A novel technique for giant left atrium reduction

R Sinatra et al. Eur J Cardiothorac Surg. 2001 Aug.

Abstract

We herein describe a safe and reproducible technique for left atrial volume reduction in patients with a giant left atrium. In a 56-year-old patient undergoing redo mitral valve replacement, the left atrium measured 18 x 20 x 17 cm occupying the middle-lower segment of the right hemithorax with compression of the adjacent organs. The left atrial volume was reduced by triangular resections of the atrial wall and the mitral valve was replaced using a mechanical prosthesis. The postoperative course was uneventful and the left atrial diameter was 11.2 cm at the latest control.

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